Nan Shirley, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

086006605RN Issued in OR

Practice address

8800 SE Causey Loop
#D205
Happy Valley, OR 97086-7562

Phone

(503) 575-5158

NPI assigned

Nov 17, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1851693246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE CAUSEY LOOP",
            "address_2": "#D205",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867562",
            "telephone_number": "503-575-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 SE CAUSEY LOOP",
            "address_2": "#D205",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970867562",
            "telephone_number": "503-575-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "NAN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "086006605RN",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00086719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilia Sentchouk, LD
• Sandra Sequeira, M.D.
• Serenity Valley, LLC
• Mya Sheakley
• Michelle Sheppard
• Renata Sibgatullina, HAS
• Silver Sparrow Therapy LLC
• Vy Pham Simeles, ND
• Amy Smith, LMT #13580
• Elizabeth Anne Smith

• Registered Nurse in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.